Eyeworld

DEC 2020

EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.

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124 | EYEWORLD | DECEMBER 2020 P RACTICE MANAGEMENT The number one mistake Dr. Osher thinks doctors make when there is a complication is that they distance themselves from the patient. "It should be the exact opposite," Dr. Osher said. It is the complicated patient who should receive personal calls to see how they're doing, the one who should be offered genuine concern and reassurance. "This is the patient you want to shower with attention. … The patient knows I really care. That goes a long way," he said. Some of these conversations can also be made easier if the preoperative discussion is handled differently. "For example, if patients who have under- gone previous refractive surgery are told ahead of time that they will probably need a thin pair of glasses following surgery, it becomes an expectation and not a complication," Dr. Osher said. Leaving a patient without a lens Dr. Parker thinks this is an important conversa- tion to prepare for, especially for those early in their career. When the capsular bag is compro- mised, surgeons have three options: put the lens in the bag with a sometimes technically compli- cated fixation technique; use an AC IOL, which he said can have problems later; or leave the patient without a lens. "Most surgeons don't want to have to ex- plain to the patient why they didn't put a lens in … and instead put the worst lens in the worst location, and it ends up causing problems for the patient down the line," Dr. Parker said. Instead, he advised preparing for this type of conversation ahead of time so the patient can be referred to a doctor more experienced in performing the fixation techniques for IOLs in these situations. continued from page 123 Experience EyeWorld 24/7 EyeWorld.org Supplements Read the current issue as well as past issues EyeWorld Weekly news feed Live Twier feed

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